H95.111 Chronic inflammation of postmastoidectomy cavity, right ear

ICD10CM code

#### Name of the Condition
- Chronic inflammation of the postmastoidectomy cavity, right ear
- ICD Code: H95.111

#### Summary
Chronic inflammation of the postmastoidectomy cavity is a condition where persistent inflammation occurs in the cavity created by a mastoidectomy surgery, specifically affecting the right ear. This condition can cause discomfort and potential complications if not addressed properly.

#### Causes
- Post-surgical changes resulting from mastoidectomy.
- Infections following surgery.
- Poor surgical healing process.
- Presence of cholesteatoma or residual disease.

#### Risk Factors
- Previous ear infections or chronic ear disease.
- Undergoing mastoidectomy surgery.
- Inadequate post-surgical care.
- Smoking or having a compromised immune system.

#### Symptoms
- Persistent pain or discomfort in the ear.
- Drainage or discharge from the surgical site.
- Hearing loss or changes in hearing.
- Redness or swelling around the ear.

#### Diagnosis
- Physical examination by an otolaryngologist.
- Imaging studies such as CT scans to assess the cavity.
- Audiometry to evaluate hearing function.
- Laboratory tests for signs of infection.

#### Treatment Options
- Medications like antibiotics to treat infection.
- Steroids to reduce inflammation.
- Regular cleaning and care of the affected area.
- Surgical revision if necessary to correct anatomical issues.

#### Prognosis and Follow-Up
- With appropriate treatment, many patients recover well.
- Chronic inflammation may persist and require ongoing management.
- Regular follow-up is essential to monitor healing and prevent complications.

#### Complications
- Continued hearing loss.
- Spread of infection to surrounding tissues.
- Development of a new cholesteatoma.
- Pain and discomfort affecting quality of life.

#### Lifestyle & Prevention
- Maintain proper ear hygiene.
- Avoid smoking to enhance healing.
- Follow post-surgical care advice diligently.
- Regular medical check-ups to monitor ear health.

#### When to Seek Professional Help
- Sudden or severe pain in the ear.
- Increased drainage or foul-smelling discharge.
- Noticeable changes in hearing or balance.
- Swelling or redness that worsens.

#### Additional Resources
- American Academy of Otolaryngology–Head and Neck Surgery: [www.entnet.org](https://www.entnet.org)
- National Institute on Deafness and Other Communication Disorders: [www.nidcd.nih.gov](https://www.nidcd.nih.gov)

#### Tips for Medical Coders
- Ensure accurate documentation of "chronic inflammation" and specify "postmastoidectomy cavity, right ear."
- Verify the precise location and laterality to avoid common mistakes.
- Cross-check for related conditions that might need additional coding.

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